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Patients with lung cancer before and after treatment of serum CEA, NSE and research Ft

l ~ tingthechangingconditionolttmaorKey Ⅵ Pa rdslungrle. D1asrIcardncvm'nbryonieantigenphc ~ Nopyruvatehydrata ~ elerritin outside the pipe line not far from two major arteries near VSD pulmonary stenosis, double outlet right ventricle type of radical surgery of its case Si NNT-Man Yang,[link widoczny dla zalogowanych], Peng Zhao Tong} Wei Jiahua Li Jun Shan Keywords heart defects, congenital ● - ● - - ~ ventricular septal defect in a case described in patients with oral women,[link widoczny dla zalogowanych], aged 4 years old. After birth, heart murmur, cyanosis gradually after 1 'increase. Hi hold position, hi squat, increased cyanosis after the event. Physical examination found: heart rate of 102 cut / min, blood pressure 10/6kPa (75/-45nmlHg). Cyanotic lips. 3,4 intercostal left sternal border could be heard t11 / 6 systolic murmur can be and tremor, and pulmonary second sound is not heard. 0.5 hoe left rib cage under the liver, severe clubbing Zhi Zhi. Chest films showed: cardiothoracic ratio: 0.54 shoe blade heart, lung blood less. ECG showed: sinus rhythm. Left axis deviation and right ventricular hypertrophy with strain. Doppler Echocardiography: two from the bottom of the right ventricular artery, aorta and pulmonary artery parallel. Two arteries and atrioventricular valve too muscular cone between the Organization for the connection. Ventricular septal defect near the pulmonary valve, the atrial septal defect 15 grumble. Room level left to right shunt, atrial level right to left shunt-based Doppler diagnosis: double outlet right ventricle pulmonary stenosis, ventricular septal defect, pulmonary valve under near. Atrial septal defect. Cardiovascular angiography, aorta and pulmonary artery from the right ventricular white. Double muscle of the right ventricular outflow tract for the aortic and mitral loss fiber connection. Dirty debut pulmonary stenosis, aortic indecent than his debut short. Aorta, right and left pulmonary artery was tied between two leaves of the pulmonary valve was abnormal, thickening of valve leaflets and is narrow. Aortic 22mm, 10-hoe pulmonary artery, ventricular septal defect 13II) / 1 Right ventricular pressure 126/2_kPa (95/15nmaH4z), cardiovascular imaging diagnosis: double outlet right ventricle, pulmonary stenosis, ventricular septal defect. Atrial septal defect, right aortic arch, ventricular septal defect in the pulmonary artery flap. Arterial oxygen partial pressure 53kPa (40m coral}). In December 1997 median sternotomy 24El take radical surgery in cardiopulmonary bypass. Intraoperative findings: the ascending aorta to move music to expand in the right anterior pulmonary artery diameter 2.8ern. After the left main pulmonary artery in the aorta; diameter 1.4crn. Bilateral tied down in the left atrial appendage. Ascending aorta for the vascular plug, plug in the right atrium and inferior vena back to the blood vessels. Nasopharyngeal temperature of 22 ℃ block the ascending aorta. Right atrial see atrial septal defect open, patent foramen ovale, the left side of the right atrial appendage root. Right ventricular anterior wall incision, may be outside the contradictory. See all began with two-artery right ventricular free ride pace back and forth, under the pulmonary valve double aortic plaque debut. No G ∞ usSeptem RV spots debut narrow, muscular ventricular septal defect in a small beam spot Humanitarian Affairs, on the edge of the upper edge below the tricuspid annulus. Was _ a-like, too far away from the two arteries (3.5flll more), nearly pulmonary side. Tricuspid valve chordae,[link widoczny dla zalogowanych], part of the aortic valve papillary muscles in between the Central and ventricular septal defect. Tricuspid valve ring of small diameter 15flll, valve leaflets, chordae thin, thin. Semilunar valve between the atrioventricular valve and non-fiber connection: atrial septal defect with a Dacron patch, sew closed foramen ovale. Missing upper right edge of dry room to expand the direction of cutting room http traffic. Establishment of the right ventricle tunnel, cutting an appropriate shape of the polyester film, the left ventricular aortic blood lead: a continuous increase with single needle sewing units. Department of ventricular septal incision fragile,[link widoczny dla zalogowanych], repair ventricular septal defect, it will be placed in line with the right mattress pad outside. Avoid the attention of the left coronary artery. Heart expand chip package right ventricular outflow tract and pulmonary artery. Closed operation. Automatic cardiac resuscitation, sinus rhythm. Block the ascending aorta 150. CPB 4 hours. Drug and sodium nitroprusside in cardiac care unit to maintain a next time after except left lower lung atelectasis, recovered well, was discharged after 32 days, two months after ultrasound showed no left ventricular outflow tract obstruction, mild pulmonary valve stenosis level Chest films showed bang from the right ventricular outflow tract. Check after one year under the liver in the right costal margin =: refers to the activities of normal,[link widoczny dla zalogowanych], no obvious discomfort from 2 to discuss the two major arterial ventricular septal defect, pulmonary stenosis is a rare double outlet right ventricle, refractory complex congenital heart disease. The key operations: (1) ventricular septal defect is not large enough to expand the margin in the upper right direction in order to avoid damage tracts. (2) ventricular septal defect repair tendons _ hard to bypass the papillary muscle, drawing appropriate units to trim, to avoid distortions caused by the obstruction of left ventricular spot. (3) expansion of packet-heart right ventricular outflow tract and pulmonary artery. Outside the pipe to avoid the shortcomings of calcification. (Io99-02.26 closing fan) Author: 300051, Tianjin Chest Hospital, outside the debate
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